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While legalization is gaining momentum all across the states — and beyond America — exact policies for cannabis use in specific states still remain unclear for many people.

Only 11 states have legalized the recreational use of marijuana. 35 states have implemented medical marijuana programs for patients, and the remaining states fully adhering to the federal law, under which marijuana is classified as a Schedule 1 drug.

With so much confusion between state and federal marijuana laws, people literally cannot keep up which states have legalized marijuana — and for what purposes.

Did you know that one of the top questions asked on Google last month was “What states have medical marijuana?”, with approximately 10,000 searches for the phrase “medical marijuana states.”

In this article, we list all 35 legal medical marijuana states along with their qualifying conditions.

1. Alabama

Can you purchase and consume cannabis?

You can only buy CBD oil, which was decriminalized in 2016. Any other marijuana products with THC are entirely banned in the state. CBD oil in Alabama may contain up to 3% THC.

Lab Testing

The state doesn’t currently require lab testing for CBD oil products.

Qualifying Conditions & Patient Rights

Patients who want to buy CBD oil must be first qualified for the state’s medical marijuana program. Only a person with a debilitating disease or a medical condition, including one that produces seizures, can apply for a doctor’s recommendation.

2. Alaska

Can you purchase and consume cannabis?

Adults 21 and older are able to buy and consume cannabis from state-licensed dispensaries and establishments with a legitimate onsite consumption policy. Consumers are able to purchase up to 1 ounce of marijuana, or 7 grams of cannabis concentrate, or total cannabis less than 5.6 grams, or 0.2 ounces, of THC.

Adults who want to consume cannabis onsite are only allowed to buy 1 gram, or 0.035 ounces or less per transaction. The state law has banned public cannabis consumption. Legal consumption may only occur on private property or in a place with a valid onsite consumption regulations. Onsite consumers can buy up to 1 gram of marijuana products with a limit of 10 mg of THC to be used onsite.

Qualifying Conditions and Patient Rights

3. Arizona

Can you purchase and consume cannabis?

Only medical marijuana patients and caregivers in the ADHS registry with valid ID cards can buy medical marijuana from nonprofit state-licensed dispensaries. Marijuana consumption must take place in private premises.

Lab Testing:

The state of Arizona currently requires no lab testing for marijuana products.

Qualifying Conditions and Patient Rights

Acquired Immune Deficiency Syndrome (AIDS)

Alzheimer’s disease

Amyotrophic Lateral Sclerosis (ALS)

Cancer

Crohn’s Disease

Glaucoma

Hepatitis C

Human Immunodeficiency Virus (HIV)

Additionally, a debilitating or chronic condition or disease that induces one or more of the following:

4. Arkansas

Can you purchase and consume cannabis?

Adults can acquire medical marijuana products from medical marijuana dispensaries registered with the state. Patients must show their medical marijuana card to purchase their medicine. Caregivers are allowed to buy medical marijuana on behalf of their designated patient, provided that they can show a valid caregiver registry card. Marijuana consumption is allowed only at home. Public consumption remains banned.

Lab Testing

The Arkansas Department of Health requires cannabis in the state to be tested by third-party laboratories for the following: CBD and THC potency, heavy metals, microbiological contaminants, moisture content, solvents, and water activity.

Qualifying Conditions and Patient Rights

ALS

Alzheimer’s disease

Cachexia or wasting syndrome

Cancer

Crohn’s disease

Epilepsy/seizures

Fibromyalgia

Glaucoma

Hepatitis C

HIV/AIDS

Intractable pain (pain that hasn’t responded to ordinary treatment, medications or surgical measures for a longer period of time than 6 months)

Plus approved by the Department of Health other medical conditions or treatments.

5. California

Can you purchase and consume cannabis?

Adults 21 and older may buy marijuana from any state-licensed recreational cannabis as long as they can provide a valid identification proof. When it comes to the amount you can legally buy in California, it’s one ounce of dried flowers and up to 8 grams of concentrated cannabis. Moreover, marijuana delivery is legal across the state, although some countries have currently banned deliveries within their jurisdictions. Patients who are unable to make a transaction themselves can ask their caregiver to do so.

If you want to buy weed from a medical cannabis dispensary, you don’t need a medical card. In fact, all you need is a state-issued identification card you can acquire once you hit 21 years. All adult-use purchases are charged with a 15% cannabis excise tax, a 10% city tax, and a 7.25%–11% use tax, depending on the area.

However Proposition 64 states that medical marijuana patients with a valid medical identification ID don’t have to pay the sales and use tax when making local purchases for their medicine. Consumption of recreational cannabis must take place in a private space. The California Department of Public Health has a list of counties that are members of the California Medical Marijuana Identification Card Program. Onsite consumption is allowed only inside businesses or spaces that have been granted a commercial cannabis consumption license. In San Francisco, it’s legal to consume marijuana at events with designated lounges and restaurants.

Smoking or vaping marijuana in a designated non-smoking area is subject to a $100 free. You also can’t smoke within 1,000 feet of a school, youth center, or day-care center while children are present. Consumption in vehicles is forbidden whether you’re driving or just riding as a passenger. In addition, you cannot have an open container of cannabis while driving or riding as a passenger in a vehicle because that would indicate consumption.

Lab Testing

The BCC requires that all marijuana harvested for commercial medical and recreational sales, as well as all cannabis products, must be tested in certified laboratories to meet certain safety and quality requirements.

Qualifying Medical Conditions and Patient Rights

Anorexia

Arthritis

Cachexia (or wasting syndrome)

Cancer

Chronic migraine

Chronic pain

Epilepsy and other seizure conditions

Glaucoma

HIV/AIDS

Multiple Sclerosis

Persistent muscle spasms

Severe nausea

Or any other persistent symptom that limits one’s ability to conduct one or more major life activities. If not alleviated or cured, it may lead to further deterioration of patient’s physical and mental health, as well as their safety.

6. Colorado

Adults 21 and over, as well as medical marijuana patients, may purchase legal marijuana from state-licensed dispensaries. If patients are unable to buy their medicine themselves, they may ask a caregiver to purchase and deliver cannabis on their behalf. Patients may also get medical marijuana from exclusively medical dispensaries.

The state sales tax for cannabis in Colorado is 2.9%, applying both to medical marijuana and medical marijuana products. Recreational sales are subject to a 15% retail marijuana tax, which the vendor adds to the final retail purchase price.

While currently only available in dispensaries, the Colorado General Assembly allowed online deliveries for medical marijuana and for all adult-use marijuana, starting Jan. 2, 2021.

Travelers aren’t allowed to bring marijuana to Denver International Airport or any other airport. In 2019, the state introduced HB 1230, which created new business licenses for marijuana lounges, tasting rooms, and other cannabis-friendly facilities where public consumption is allowed.

However, it’s illegal to use or consume cannabis in a motor vehicle, both as a driver and passenger.

Lab Testing

The CDOR calls for all cannabis harvested for adult use to meet certain quality and safety standards. Manufacturers must send samples of their plant material to an independent lab for an internal self-audit and to check if there are no compliance issues. Then, the facility must send the Request for Inspection form signed and dated by the director of the laboratory.

The laboratory may only run tests in the categories for which they have received certification. In total, there are six types of lab certification that a company may obtain in the course of the laboratory inspection: potency, microbial content, residual solvents, metals, pesticides, and mycotoxins.

Qualifying Conditions and Patient Rights

Cachexia

Cancer

Glaucoma

HIV or AIDS

Persistent muscle spasms

Post-traumatic stress disorder (PTSD)

Seizures

Severe nausea

Severe pain

7. Connecticut

Can you purchase and consume cannabis?

Only registered patients and primary caregivers may buy medical marijuana from licensed pharmacists employed by state-licensed medical dispensaries. Individuals are allowed to purchase up to 2.5 ounces of marijuana flower per month, which is also the limit for possession.

Patients need to choose their designated dispensary as they apply for the medical marijuana program. There are a few dispensaries operating throughout Connecticut. Registered patients can buy flower, edibles, concentrates, tinctures, and topicals, as well as consumption accessories from their dispensaries. Patients are also responsible for state and local sales taxes during purchase. At the time, there are no marijuana delivery services in the state.

Lab Testing

Heavy metals, pesticides, mycotoxins, microbiological contaminants

Qualifying Conditions and Patient Rights

ALS

Cachexia/wasting syndrome

Cancer

Cerebral palsy

Complex regional pain syndrome

Crohn’s disease

Cystic fibrosis

Epilepsy/uncontrollable seizures

Glaucoma

HIV/AIDS

Hydrocephalus with intractable headache

Intractable headache syndromes

Multiple sclerosis

Muscular dystrophy

Neuropathic facial pain

Osteogenesis imperfecta

Post laminectomy syndrome without chronic radiculopathy

Post-traumatic stress disorder (PTSD)

Postherpetic neuralgia

Parkinson’s disease

Severe psoriasis and psoriatic arthritis

Severe rheumatoid arthritis

Sickle cell disease

Spasticity of neuropathic pain associated with fibromyalgia

Spinal cord damage/intractable spasticity

Terminal illness requiring end-of-life care

Ulcerative colitis

8. Delaware

Can you purchase and consume cannabis?

Patients and caregivers are allowed to purchase medical cannabis from either OMM-registered compassion centers. There are currently no designated medical marijuana dispensaries and consumption must take place in a private space.

Lab Testing

All medical marijuana and medical marijuana products must undergo laboratory screening for potency and contaminants.

Qualifying Conditions and Patient Rights

Agitation of Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS?Lou Gehrig’s Disease)

Autism (without self-injurious or aggressive behavior)

Cancer

Chronic debilitating migraines

Decompensated cirrhosis

Glaucoma

HIV/AIDS

Intractable epilepsy

Post-traumatic stress disorder (PTSD)

Terminal illness

A debilitating or chronic condition or disease that induces one or more of the following:

Cachexia or wasting syndrome

Intractable nausea

Severe or/and debilitating pain (pain that has not responded to any previously implemented medical treatment, prescribed medication or surgical measures for more than 3 months. You can also treat this pain if other methods of treatment cause serious side effects)

Seizures

Severe and persistent muscle spasms, including (but not limited) to those characteristic of multiple sclerosis

9. District of Columbia

Can you purchase and consume cannabis?

Initiative 59 allows patients or their caregivers to purchase and consume medical marijuana from the registered dispensary designated by the patient during the application process. Consumption of medical marijuana is limited to private properties; the use of cannabis in public remains a criminal offense.

Lab Testing

The District of Columbia currently doesn’t require growers to test their crops in laboratories.

Qualifying Conditions and Patient Rights

Under the Medical Marijuana Expansion Emergency Amendment Act of 2014, a qualifying medical condition includes “any condition for which treatment with medical marijuana would be beneficial, as determined by the patient’s physician.”

10. Florida

Can you purchase and consume cannabis?

Patients can obtain their medical marijuanathanks to Medical Marijuana Use Registry Identification cards. These cards must be shown for verification when buying your medicine at one of the approved medical dispensaries. The cards are also used by the authorities to see if individuals seeking treatment with marijuana are legal patients according to statewide database. Law enforcement officers may ask a patient to show their cards at any given time.

As mentioned, patients can buy their products from one of the state-licensed medical marijuana dispensaries. These facilities cannot dispense more than a 70-day supply of medical marijuana at all forms at a time, and more than 35-day supply of smokable flower.

Edibles are available for sale, but must be commercially made by medical dispensaries and only infused with cannabis oil. Each dispensary must also carry at least one low-THC product for patients who are sensitive to the psychoactive side of cannabis.

Medical marijuana — including sales, use, transactions, and marijuana delivery devices — are exempt from state sales tax, just as its retail, delivery, distribution, and storage.

Marijuana cannot be consumed in any public place; on a school campus; in the workplace; or aboard a motor vehicle. Individuals can only consume their medicine in private spaces. Driving under the influence of cannabis is considered a criminal offense.

All cannabis products must be sealed in tamper-proof containers. Patients under 18 may not consume medical cannabis via smoking unless diagnosed with a terminal condition.

Lab Testing

The Florida Department of Agriculture and Consumer Services (FDACS) and the Florida Department of Environmental Protection (FDEP) are currently working on regulations for laboratories and testing when it comes to medical marijuana and medical marijuana products.

The Florida State Public Health Statutes now require medical marijuana dispensaries to pay for state-certified labs to run testing and audits. Lab screenings are now in effect, and all dispensaries must submit marijuana samples to a licensed lab testing facility.

Samples are tested for accurate cannabinoid profiles and contaminants. The FDACS hasn’t yet determined which contaminants must be tested for, and what are the bottom contaminant levels for human consumption.

Qualifying Conditions and Patient Rights

A terminal condition diagnosed by a physician other than the qualified physician issuing the physician certification

Amyotrophic lateral sclerosis (ALS)

Cancer

Chronic nonmalignant pain caused by a qualifying medical condition or that originates from a qualifying medical condition and persists beyond the usual course of that qualifying medical condition

Crohn’s disease

Epilepsy

Glaucoma

HIV/AIDS

Medical conditions of the same kind or class as or comparable to those above

Multiple sclerosis (MS)

Parkinson’s disease

Post-traumatic stress disorder (PTSD)

11. Georgia

Can you purchase and consume cannabis?

N/A

Lab Testing

N/A

Qualifying Conditions and Patient Rights

Alzheimer’s Disease

Amyotrophic Lateral Sclerosis (ALS)

Autism

Cancer

Crohn’s disease

HIV/AIDS

Hospice care patients

Intractable pain

Mitochondrial disease

Multiple sclerosis

Parkinson’s disease

Post-traumatic Stress Disorder (PTSD)

Severe or end-stage peripheral neuropathy

Seizures

Sickle cell disease

Tourette’s syndrome

12. Guam

Can you purchase and consume cannabis?

Medical marijuana patients in Guam can purchase and possess up to 2.5 ounces of marijuana flower, but patients aren’t allowed to grow their own plants at home. Despite an active medical marijuana program, there are no operational dispensaries as of yet.

Lab Testing

Guam doesn’t currently require lab testing from manufacturers.

Qualifying Conditions and Patient Rights

In order to be granted permission for buying medical marijuana, a person needs to be admitted to hospice care or suffer from one of the following conditions:

Or any other condition “for which the qualified patient’s practitioner has determined that the use of medical cannabis may provide relief.”

13. Hawaii

Can you buy and consume cannabis?

At the beginning of 2016, Hawaiian government allowed patients to purchase medical marijuana from state-licensed dispensaries. As of 2018, medical marijuana patients living in neighboring states can apply for the Hawaii Medical Marijuana Program for a period of 60 days every 12 months. Cannabis is only legal for medical use, and in a form that “doesn’t endanger the health or well-being of another individual.”

14. Idaho

Can you purchase and consume cannabis?

No, cannabis is illegal in Idaho.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

15. Illinois

Can you buy and consume cannabis?

Illinois has recently legalized the recreational use of cannabis, making it to the annals as the 11th state with legal weed. On top of that, Illinois has a well developed medical marijuana programs. Patients can buy their medicine in a dispensary storefront, but public consumption is still illegal there. The legal limit for purchases is 2.5 ounces of cannabis once every two weeks.

Spinal cord injury i.e. damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity

Spinocerebellar ataxia

Syringomyelia

Tarlov cysts

Tourette syndrome

Traumatic brain injury

16. Indiana

Can you purchase and consume cannabis?

The government of Indiana currently allows CBD oil as the only legal form of marijuana. On Wednesday, Mar. 21, 2018, Governor Eric Holcombed signed Act 52 into law, which enables anyone to buy, sell, and possess CBD oil provided that all CBD oil products are under 0.3% and come from hemp rather than marijuana.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

17. Iowa

Can you purchase and consume cannabis?

In March 2018, the Iowa Department of Public Health announced that it would allow medical marijuana sales in five Iowa regions: Council Bluffs, Davenport, Windsor Heights, Waterloo, and Sioux City.

The only licensed manufacturer in the state is MedPharm Iowa, which was granted licenses for Sioux City and Windsor Heights. In Council Bluffs and Davenport, medical marijuana is sold by Have a Heart Compassion Care.

Lab Testing

State laws require laboratories to establish and implement screening techniques and corresponding standard operating procedures for the analyses of cannabinoid makeup, processing chemicals, pesticides, microbiological impurities, heavy metals, and residual solvents. A laboratory must be able to ensure that its Limit of Quantitation is under any action level drawn out by the department. Laboratories shall, at least, test and report results for the following cannabinoids: THC, CBD, THCA, CBDA, CBG, and CBN.

18. Kansas

Where can you buy and consume cannabis?

Kansas cannabis laws currently allow for purchasing CBD products either in stores or from online vendors, provided that they contain ZERO THC. This means that full-spectrum CBD products aren’t available in Kansas and your options are limited to isolates. Individuals may purchase CBD products in the form of oils, pills, powders, or lotions. These products are labeled as health supplements.

Possession of any amount of marijuana is considered a crime and the first violation is a class A misdemeanor, which may land you a fine of up to $2,500 and/or one year incarceration. Subsequent offenses for cannabis possessions are felonies punishable up to 2 years in prison with potential fines. Once you’ve been arrested with marijuana for the third time, you can serve up to 52 months in prison and be charged with $2,500 in fines.

Since many cannabis consumption accessories are criminalized as drug paraphernalia, CBD may not be smoked or vaporized in flower form.

Lab testing

CBD products must have all contents listed on the container’s label. The manufacturer must also attach a statement of CBD purity along with a health warning that consuming CBD could pose a threat to one’s health. The proposed regulations for the Industrial Hemp Research Program requires license holders to pay $47 per hour for a sample collection and sample testing fee $250 for each screening. Lab tests in Kansas are designed to determine if the hemp sample contains less than 0.3% per weight

Qualifying Conditions and Patient Rights

N/A

19. Kentucky

Can you buy and consume cannabis?

Purchasing, cultivating, consuming, and/or possessing marijuana is illegal in Kentucky. Patients with treatment-resistant forms of epilepsy can use CBD only if approved by their doctor and administered in accordance with Kentucky regulations.

Lab Testing

Hemp farmers must test their plant material to determine the THC content of each final batch. The lab results must confirm that the final product contains less than 0.3% THC content.

Qualifying Conditions and Patient Rights

Kentucky has no medical marijuana program as of yet, so there are no qualifying conditions that would allow patients to use medical marijuana products.

20. Louisiana

Can you buy and consume cannabis?

Medical marijuana patients in Louisiana can buy their medicine from one of nine state-run pharmacies, which are spread throughout the state and licensed by the Louisiana Pharmacy Board. The Louisiana Medical Marijuana Tracking System records all purchases and recommended doses. When a recommending physician sends an order to the closest pharmacy, it will then turn to inform patients when their medicine is ready for pickup.

Patients are allowed to purchase up to a 30-day supply of cannabis. Their products aren’t covered by insurance and are exempted from Louisiana sales tax. Louisiana pharmacies can sell medical marijuana produced from only one of two licensed growers: Baton Rouge and GB Sciences in partnership with Louisiana State University.

Lab Testing

Louisiana regulators required the LDAF in SB 271 to draft guidelines for third-party lab testing of medical marijuana products. However, no facilities have passed inspection as of August 2019, therefore LDAF is currently running the tests itself.

Qualifying Conditions and Patient Rights

Cachexia or wasting syndrome

Cancer

Crohn’s disease

Glaucoma

HIV/AIDS

Intractable pain

Muscular dystrophy and multiple sclerosis

Parkinson’s disease

Post-traumatic stress disorder (PTSD)

Seizure disorders/epilepsy

Severe muscle spasms

Spasticity

Any of the following conditions associated with ASD (Autism Spectrum Disorder):

Avoidance of others or inability to communicate of such severity that the physical health of the person with autism is jeopardized

Physically aggressive or destructive behavior

Repetitive or self-stimulatory behavior of such severity that the physical health of the person with autism is jeopardized

Self-injuring behavior

21. Maine

Where can you buy and consume cannabis?

Registered patients must choose a dispensary or a caregiver to grow cannabis for purchase. Patients can also purchase medical marijuana from a registered caregiver or directly from a dispensary, or may choose to grow their own medicine on their property provided that they have a designated, secure cultivation site.

Recreational sales for adults over 21 haven’t been launched yet. Cannabis consumption can’t take place in a public space.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

A chronic or debilitating disease or medical condition or its treatment that produces intractable pain (pain that has not responded to ordinary medical treatment or prescribed medications or surgical measures for more than six months

Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS)

Cancer

Glaucoma

Hepatitis C

HIV/AIDS

Nail-patella syndrome or the treatment of these conditions;

A debilitating or chronic medical condition or disease or its treatment that causes one of more of the following:

Cachexia or wasting syndrome

Seizures (including but not limited to those characteristic of epilepsy)

Severe nausea

Medical conditions approved by the DHHS or its treatment, or:

Dyskinetic and spastic movement disorders

Inflammatory bowel disease

Other diseases causing severe and persistent muscle spasms

Post-traumatic stress disorder (PTSD)

22. Maryland

Where can you purchase and consume cannabis?

Patients and caregivers can buy medical cannabis from state-approved dispensaries. Cannabis consumption must be held on private property.

Lab Testing

The MMCC requires farmers to contract with at least one independent testing laboratory to ensure that all quality and safety control standards are met. Certified labs must scan the cannabis sample for the following: heavy metals, potency, pesticides, residual matter, and microbiological contaminants.

Qualifying Conditions and Patient Rights

Anorexia

Cachexia/wasting syndrome

Chronic pain

Glaucoma

Post-traumatic stress disorder (PTSD)

Seizures

Severe nausea

Severe or persistent muscle spasms

Severe pain

23. Massachusetts

Can you purchase and consume cannabis?

Residents of Massachusetts can legally purchase cannabis from state-licensed dispensaries. All cannabis products — both medical and recreational — must be consumed on private property. Public marijuana consumption is still illegal, whether it’s smoking, vaping, or eating. Furthermore, marijuana can’t be smoked where tobacco smoking is banned.

Lab Testing

The DPH advises all commercial cannabis growers to test their harvested crops as well as all marijuana products for safety, quality, and potency. Certified labs must analyze the following: cannabinoid makeup and potency, fungal mycotoxins, residual solvents, pesticides, plant growth regulators, and microbiological contaminants.

Qualifying Conditions and Patient Rights

Amyotrophic lateral sclerosis (ALS)

Cancer

Crohn’s disease

Glaucoma

Hepatitis C

HIV/AIDS

Multiple sclerosis (MS)

Other conditions as approved by a qualifying patient’s physician

Parkinson’s disease

24. Michigan

Where can you purchase and consume cannabis?

Under Proposition 1 that was signed into law in November 2018, adults in Michigan can purchase and possess up to 2.5 ounces of cannabis legally in public and grow up to 12 plants at home, out of plain sight. Medical cannabis is available in state-licensed dispensaries.

Lab Testing

Cannabis manufacturers are required by the MMMP to send their products to cannabis testing labs also known as “safety compliance labs.” These laboratories must test for the following: THC and THCA levels, CBD and CBDA levels, terpenes, chemical residue, pesticides, fungicides, insecticides, herbicides, mycotoxin, and water activity content.

Qualifying Conditions and Patient Rights

Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS)

Arthritis

Autism

Cancer

Chronic pain

Colitis/ulcerative colitis

Crohn’s disease

Glaucoma

Hepatitis C

HIV/AIDS

Inflammatory bowel disease

Nail patella,

Obsessive-compulsive disorder

Parkinson’s disease

Post-traumatic stress disorder (PTSD)

Rheumatoid arthritis

Spinal cord injury

Tourette syndrome

Or the treatment of the following conditions:

A chronic or debilitating disease or medical condition or its treatment that results in wasting syndrome

seizures

severe and chronic pain

severe and persistent muscle spasms.

severe nausea

25. Minnesota

Can you purchase and consume cannabis?

Patients in Minnesota can purchase cannabis in non-smokable forms from one of in-state medical dispensaries (recreational use is not legal). Commercial delivery isn’t allowed and must be done through a designated caregiver. People in Minnesota can’t consume their medicine in public, and if you’re caught with more than a 30-day supply, you may be charged with a criminal offense. Medical patients pay $3.50 per gram of cannabis.

Debilitating psychiatric disorders (including but not limited to PTSD)

Epilepsy

Glaucoma

HIV/AIDS

Intractable migraines

Any other debilitating or chronic medical condition, including (but not limited to):

ALS

Alzheimer’s disease

Autism

Cachexia

Crohn’s disease

Hepatitis C

Huntington’s disease

Irritable Bowel Syndrome

Neuropathy

Sickle cell anemia

Wasting syndrome

27. Montana

Can you purchase and consume cannabis?

Montana was one of the first states to have legalized the use of medical marijuana for patients with debilitating medical conditions. The medical program went into effect with a 2005 ballot initiative. In 2012, the state senate was able to establish specific conditions on medical marijuana to create the Montana Marijuana Act. Key provisions of the new legislation were challenged in court until August 2016, when the Montana Supreme Court left most of the law’s provisions in place.

Qualifying Conditions and Patient Rights

A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms

Admittance into hospice care

Cachexia or wasting syndrome

Cancer

Crohn’s disease

Epilepsy or an intractable seizure disorder

Glaucoma

HIV/AIDS

Intractable nausea or vomiting

Multiple sclerosis

Painful peripheral neuropathy

Post-traumatic stress disorder (PTSD)

Severe chronic pain

28. Nebraska

Can you purchase and consume cannabis?

Nebraska has very harsh laws surrounding cannabis. Both medical and recreational marijuana have been illegal there since 1927. Despite a recent positive survey conducted by the Marijuana Policy Project that showed 77% support for legalization of medical cannabis, lawmakers haven’t yet brought the voters’ will to the legislative ground.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

29. Nevada

Can you purchase and consume cannabis?

Adults aged 21 and older, as well as patients and caregivers, can purchase and consume marijuana from licensed retail stores and dispensaries throughout Nevada. You can’t consume cannabis in any public space, save for the designated smoking lounges. Other than that, consumption must take place on private property unless stated otherwise by property owner.

30. New Hampshire

Can you purchase and consume cannabis?

Despite being one of the nation’s smallest states, New Hampshire has made some big strides in regalization. Patients can purchase their medical marijuana at a dispensary storefront, although they can’t consume the medicine in public. There are no delivery services in the state either.

Lab Testing

Each batch of medical cannabis grown within New Hampshire should be tested for their cannabinoid content (THC, THCV, CBC, CBD, CBN, and CBG). Water and soil tests are required as well.

Qualifying Conditions and Patient Rights

Alzheimer’s disease

Amyotrophic lateral sclerosis

Cancer

Chronic pancreatitis

Crohn’s disease

Ehlers-Danlos syndrome

Epilepsy

Glaucoma

Hepatitis C

HIV/AIDS

Lupus

Multiple sclerosis

Muscular dystrophy

Parkinson’s disease

Spinal cord injury or disease

Traumatic brain injury (TMI)

Ulcerative colitis

Terminal or severely debilitating medical condition or its treatment, or one or more conditions or injuries that have caused at least one of the following qualifying symptoms:

Cachexia/wasting syndrome

Chemotherapy-induced anorexia

Constant or severe nausea

Elevated intraocular pressure (glaucoma)

Moderate to severe vomiting

Seizures

Severe or persistent muscle spasms

Severe pain that has not responded to previously prescribed medication or surgical measures, or for which other treatment options produced serious side effects

What does “qualifying medical condition” also mean?

Moderate to severe chronic pain

Severe pain that has never responded to any surgical measures or previously prescribed medication

Severe pain for which other treatment options cause serious side effects

PTSD (moderate or severe)

31. New Jersey

Can you purchase and consume cannabis?

Adults aged 18 and older can buy medical marijuana from New Jersey’s medical dispensaries as long as they have a recommendation from their doctor. Marijuana consumption in New Jersey must take place only in the privacy of patients’ homes.

Lab Testing

Independent laboratories in New Jersey must analyze soil samples, plant samples, and samples of the product containing cannabis grown or sold by a medical marijuana dispensary. This testing process aims to ensure that all products meet the state’s control and safety standards for medical products.

32. New Mexico

Can you purchase and consume cannabis?

Medical marijuana is available in New Mexico for patients and caregivers in state-licensed nonprofit dispensaries. If patients cannot order their medicine themselves, they can designate a caregiver to pick up the product on their behalf.

Qualified patients may also register for a personal production license to make their own cannabis products. Medical cannabis consumption is limited to private spaces and out of public view. Driving under the influence of marijuana is considered an offense and punishable with civil penalties.

Lab Testing

New Mexico requires state-licensed nonprofit producers to send their products to at least one third-party testing laboratory for content analysis. The laboratory must ensure that the product is tested for the following; cannabinoids, terpenes, fungal mycotoxins, heavy metals, microbiological contaminants, moisture, residual solvents, and water content.

Qualifying Conditions and Patient Rights

Amyotrophic lateral sclerosis (ALS)

Cachexia

Cancer

Crohn’s disease

Damage to the nervous tissue of the spinal cord

Epilepsy/seizure disorders

Glaucoma

HCV infection and receiving antiviral treatment currently

HIV/AIDS

Hospice care

Huntington’s disease

Inclusion body myositis

Inflammatory autoimmune-mediated arthritis

Intractable nausea/vomiting

Multiple sclerosis

Obstructive sleep apnea

Painful peripheral neuropathy

Parkinson’s disease

Post‐traumatic stress disorder

Severe anorexia

Severe chronic pain

Spasmodic torticollis (cervical dystonia)

Ulcerative colitis

33. New York

Can you buy and consume cannabis?

Residents of New York who are certified patients can purchase medical cannabis from registered dispensaries. The New York Department of Health also allows non-smokable forms of medical marijuana, including oils, liquids, capsules, and topicals. Edibles are prohibited under current law. Cannabis consumption is limited to private properties.

Lab Testing

All medical marijuanaproducts must be sent to a state-located, federal DEA-approved laboratory. Products must be analyzed in terms of their cannabinoid profile, as well as 30 chemical contaminants.

Qualifying Conditions and Patient Rights

Amyotrophic lateral sclerosis (ALS)

Cancer

Chronic pain

Epilepsy

HIV infection or AIDS

Huntington’s disease

Inflammatory bowel disease

Multiple sclerosis

Neuropathy

Parkinson’s disease

Post-traumatic stress disorder

Spinal cord injury with spasticity

Any medical condition for which you can also treat with an opioid, or for which a life-threatening or severe debilitating condition comes with one or more of the following complication or conditions:

Cachexia or wasting syndrome

PTSD or opioid use disorder (only if enrolled in a treatment program certified pursuant to Article 32 of the Mental Hygiene Law)

Seizures

Severe nausea

Severe or chronic pain

Severe or persistent muscle spasms

34. North Carolina

Can you purchase and consume cannabis?

North Carolina only allows caregivers to obtain low-THC hemp extracts on behalf of their patients. The state doesn’t currently run any medical marijuana program or other state-sponsored method of extracting CBD oil. Caregivers must, therefore, purchase CBD in a state that has some legal framework for medical marijuana.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

Intractable epilepsy

35. North Dakota

Can you purchase and consume cannabis?

North Dakota only allows medical cannabis products that are grown and produced within the state. Adult recreational use is still illegal here. Only registered medical marijuana patients can buy and possess cannabis. Patients who want to apply for an ID card must obtain written certificate from a doctor; there’s also a $50 application fee.

North Dakota doesn’t have any additional or specific excise taxes on the cultivation, production, or sale of medical marijuana. If you want to travel across North Dakota with cannabis, make sure it’s transported in a sealed container. State authorities have said that it’s best to keep marijuana products within their original packages along with a legal proof of purchase.

Available forms of medical marijuana include dried leaves and flowers, cannabinoid concentrates, extracts, capsules, solutions, and transdermal patches with a maximum THC content of 50 mg per dose, and topicals carrying up to 6% of THC per servings.

In order to apply for a medical marijuana card, a person needs to be at least 19 years of age.

Smoking medical marijuana in public is subject to the same regulations describing tobacco smoking in public.

Lab Testing

All medical marijuana grown and produced in North Dakota must be lab tested for strain, potency, pesticides, and contaminants. The state approved its first medical marijuana laboratory for testing cannabis.

Qualifying Conditions and Patient Rights

Agitation of Alzheimer’s disease or related dementia

Amyotrophic lateral sclerosis (ALS)

Anorexia nervosa

Anxiety disorder

Autism spectrum disorder

Brain injury

Bulimia nervosa

Cancer

Crohn’s disease

Decompensated cirrhosis due to hepatitis C

Ehlers-Danlos syndrome

Endometriosis

Epilepsy

Fibromyalgia

Glaucoma

HIV/AIDS

Interstitial cystitis

Migraine

Neuropathy

Post-traumatic stress disorder (PTSD)

Rheumatoid arthritis

Spinal stenosis/chronic back pain (including neuropathy or damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity)

Terminal illness

Tourette syndrome

Debilitating or chronic medical conditions or diseases or its treatment that cause one or more of the following:

Cachexia or wasting syndrome

Intractable nausea

Seizures

Severe and persistent muscle spasms, including those characteristic of multiple sclerosis

Severe debilitating pain for which other traditional medical treatment options produced serious side effects or that has not responded to any surgical measures or previously prescribed medication for more than three months

36. Ohio

Can you buy and consume cannabis?

Patients can purchase medical marijuana in state-licensed dispensaries. Consumption is limited to vaporizers, oils, tinctures, edibles, or patches and must take place on private property.

Lab Testing

Cannabinoid content, terpenes, microbiological contaminants

Qualifying Conditions and Patient Rights

Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS)/Lou Gehrig’s disease

Cancer

Chronic pain or severe/intractable pain

Chronic traumatic encephalopathy

Crohn’s disease

Epilepsy

Fibromyalgia

Glaucoma

Hepatitis C

HIV/AIDS

Inflammatory bowel disease (IBD)

Multiple sclerosis

Parkinson’s disease

Post-traumatic stress disorder (PTSD)

Sickle cell anemia

Spinal cord disease or injury

Tourette Syndrome

Traumatic brain injury

Ulcerative colitis

37. Oklahoma

Can you purchase and consume cannabis?

Registered patients and their designated caregivers may purchase medical marijuana from state-licensed medical cannabis dispensaries. Cannabis consumption in public is prohibited; patients can take their medicine only in a private space.

Lab Testing

NA

Qualifying Conditions and Patient Rights

Currently there are no specific qualifying conditions for becoming a medical marijuana patient in Oklahoma. Both application and recommendation must be submitted by a licensed local physician. Recommendations are left up to the discretion of the physician.

38. Oregon

Can you purchase and consume cannabis?

Adults in Oregon aged 21 and older are allowed to buy 1 ounce of cannabis flower per day,with a 17% excise tax charged on cannabis products, plus up to 3% in local taxes. Cannabis can be purchased from one of Oregon’s medical or recreational dispensaries. The state doesn’t allow for public consumption of cannabis, including places like restaurants and bars licensed to sell liquor. Consuming cannabis is also prohibited in a parked car in public view, both as a driver and passenger.

Qualifying Conditions and Patient Rights

A medical condition or disease or its treatment that causes one or more of the following:

Cachexia (a weight-loss disease that can be caused by HIV or cancer)

Persistent muscle spasm, including but not limited to spasms caused by multiple sclerosis

Seizures, including but not limited to seizures caused by epilepsy

Severe nausea

Severe pain

39. Pennsylvania

Can you purchase and consume cannabis?

Patients and caregivers seeking treatment with medical marijuana must be added to the state’s registry and acquire a medical cannabis ID card in order to purchase their medicine from state-licensed dispensaries. Cannabis is only available in its non-smokable forms, so flower or any product designed to be smoked isn’t allowed for sale.

Qualifying Conditions and Patient Rights

Damage to the nervous tissue of the central nervous system (brain-spinal cord) with objective neurological indication of intractable spasticity, and other associated neuropathies

Dyskinetic and spastic movement disorders

Epilepsy

Glaucoma

HIV/AIDS.

Huntington’s disease

Inflammatory bowel disease

Intractable seizures

Multiple sclerosis

Neurodegenerative diseases

Neuropathies

Opioid use disorder for which conventional therapeutic interventions are contraindicated or ineffective, or for which adjunctive therapy is indicated in combination with primary therapeutic interventions

40. Puerto Rico

Can you purchase and consume cannabis?

Puerto Ricans looking to purchase medical marijuana must first go through a registration process that may take weeks and is subjected to a $100-150 fee. Once accepted, the Puerto Rican Department of Health enters a patient into a database and permits them to purchase from the nearest storefront dispensary. Patients are allowed to consume non-smokable forms of cannabis, but only on private properties.

Lab Testing

The government of Rhode Island currently doesn’t require cannabis farmers and manufacturers to test their products in laboratories.

Qualifying Conditions and Patient Rights

Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS)

Anorexia

Anxiety

Crohn’s disease

Epilepsy

Fibromyalgia

Hepatitis C

HIV/AIDS

Cachexia

Migraines

Multiple sclerosis

Severe spasms

Parkinson’s disease

Rheumatoid arthritis

Spinal cord injury

41. Rhode Island

Can you purchase and consume cannabis?

If you want to buy cannabis from one of three state-licensed compassion centers, you must be either a qualified patient or a designated caregiver. Cannabis consumption is limited to private properties.

Lab Testing

The Rhode Island Department of Health has advised all medical cannabis cultivators and registered compassion centers to test their products for safety and quality. However, the DOH has yet to come with some form of official framework for lab testing, i.e. what a content analysis should cover.

Qualifying Conditions and Patient Rights

Cancer

Glaucoma

Hepatitis C

HIV/AIDS

A medical condition or a debilitating or chronic disease or its treatment that causes at least one of the following:

Agitation related to Alzheimer’s Disease

Cachexia or wasting syndrome

Seizures, including but not limited to those characteristic of epilepsy

Severe and persistent muscle spasms, including but not limited to those characteristic of multiple sclerosis or Crohn’s disease

Severe nausea

Severe, debilitating, chronic pain

42. South Carolina

Can you purchase and consume cannabis?

South Carolina currently allows only medical CBD products with a doctor’s recommendation. Available forms of cannabis include extracts with less than 15% CBD and no more than 0.9% THC per dry weight.

Lab Testing

South Carolina currently doesn’t have regulations regarding laboratory testing for cannabis products.

Qualifying Conditions and Patient Rights

Lennox Gastaut Syndrome

Dravet Syndrome or any other severe form of epilepsy that is not adequately treated by conventional treatments

Cachexia

Severe or chronic pain

Severe nausea

Seizures

Severe and persistent muscle spasms

And other conditions that are severe and resistant to traditional medicine therapies.

43. South Dakota

Can you purchase and consume cannabis?

Both medical and recreational use of marijuana is illegal in South Dakota, so while seeing Mount Rushmore is a good option to consider, you won’t find any dispensary or compassion center selling cannabis there.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

44. Tennessee

Can you purchase and consume cannabis?

Although marijuana is illegal in Tennessee, patients with a doctor’s recommendation can purchase and use CBD-rich extracts. However, the state requires that all CBD products include cannabis oil with less than 0.9% THC.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

Treatment-resistant seizures

45. Texas

Can you buy and consume cannabis?

Only registered patients, who have been diagnosed with one or more qualifying conditions by a state-licensed physician, can purchase cannabis from one of three DPS-run medical dispensaries. If patients aren’t able to make the purchase themselves, they can use delivery services from two of the three dispensaries. Currently, only approved caregivers are allowed to deliver medical marijuana products to patients. There are also no tax information on cannabis extracts, nor any restrictions on where patients can legally possess and consume their medicine.

Qualifying Conditions and Patient Rights

There are currently no age restrictions for patients. However, patients below the age of 18 will need a parent or legal guardian to purchase medical marijuana on their behalf.

46. Utah

Can you purchase and consume cannabis?

Patients 18 and older, their parents or legal guardian, as well as designated caregivers may legally purchase medical cannabis in Utah. The problem with current regulations is that there are no medical dispensaries operating in the state.

All cards for patients under 21 must be approved by Utah’s Compassionate Use Board. Utah law also states that patients may only use medical cannabis if they suffer from a qualifying condition and have a recommendation from a physician.

Public consumption of cannabis remains illegal unless it’s a medical emergency. You also can’t use your medicine while driving a vehicle. Moreover, the Utah Medical Cannabis Act specifies that medical cannabis may only be available as capsules, gelatin cubes, concentrated oils, skin patches, or liquid suspensions. The document also allows for medical cannabis in Utah to be administered as resin or wax in a vaporizer.

Lab Testing

The Medical Cannabis Act lists all testing facilities where cultivators and manufacturers can send their cannabis and cannabis goods for content analysis.

Qualifying Conditions and Patient Rights

A condition resulting in the individual receiving hospice care

A rare disease or condition (affecting less than 200,000 individuals in the U.S., as defined by federal law) which is inadequately managed using physical interventions or conventional treatments (other than opioids or opiates)

Alzheimer’s disease

Amyotrophic lateral sclerosis (ALS)

Autism

Cachexia

Cancer

Crohn’s disease or ulcerative colitis

Epilepsy or debilitating seizures

HIV/AIDS

Multiple sclerosis or debilitating muscle spasms

Pain lasting longer than two weeks that is inadequately managed, in the qualified medical provider’s opinion, despite treatment with conventional medications (other than opioids or opiates) or physical intervention

Post-traumatic stress disorder (PTSD) that is being treated and monitored by a mental health therapist and has been properly diagnosed and documented

Terminal illness when the remaining life expectancy is less than six months

The Compassionate Use Board gives medical cannabis approvals for those who don’t have a specifically named qualifying condition.

47. Vermont

Can you purchase and consume cannabis?

Adult-use and medical use of cannabis are both legal in Vermont. Patients who want to obtain medical-grade cannabis products may only purchase from their designated dispensary, and can point to only one dispensary at a time.

Lab Testing

Vermont currently doesn’t have regulations in place regarding lab testing for cannabis products.

AIDS

Cancer

Crohn’s disease

Glaucoma

HIV

Multiple sclerosis

Parkinson’s disease

If any of the above diseases or conditions result in persistent, severe, and intractable symptoms of:

Cachexia or wasting syndrome

Chronic pain

PTSD (provided the applicant is undergoing psychotherapy or counseling with a licensed mental health care provider)

Seizures

Severe nausea

48. Virginia

Can you purchase and consume cannabis?

Virginia is one of those states where both medical and recreational use of marijuana are illegal. However, patients can purchase and possess CBD extracts high in CBD and low in THC provided that they have a medical condition approved by a physician.

Legal CBD extracts should contain at least 15% of CBD and no more than 5% with at least 5 mg of CBD per milliliter and below 5% of THC or THC-A. Similarly, the Virginia allows THC-A oils as processed cannabis extracts. The potency rules are the same: the extract must contain at least 15% of THC-A but no more than 5% THC.

Qualifying Conditions and Patient Rights

Intractable epilepsy

49. Washington

Can you purchase and consume cannabis?

Washington has a very progressive legal framework regarding cannabis and cannabis products. Adults can legally purchase their cannabis from one of the state-licensed medical or recreational retailers. If you want to buy cannabis from a medical dispensary, you’ll need to apply for a Tribal ID card, and if you can’t purchase marijuana yourself, you can designate a caregiver who will also buy medical cannabis on your behalf.

There’s a Washington state marijuana tax for recreational sales. The state law says that all retail marijuana sales are subject to a whopping 37% excise tax, in addition to local sales tax and regular state tax. Medical products are exempt from taxation. Cannabis can be consumed in public, although not in places where tobacco smoking is banned.

Lab Testing

All marijuana and marijuana-infused products made in Washington must be rigorously tested by a third-party laboratory. Certified labs must perform the following tests: potency analysis, terpene profile, residual solvent screening, pesticides, moisture, mycotoxin screening, and microbiological screening.

Qualifying Conditions and Patient Rights

Cancer

Crohn’s disease

Epilepsy or other seizure disorder

Glaucoma

Hepatitis C

Human immunodeficiency virus (HIV)

Intractable pain (limited for the purpose of this chapter to mean pain unrelieved by standard medical treatments and medications)

Multiple sclerosis

Spasticity disorders

Other conditions or diseases that result in:

Anorexia

Appetite loss

Chronic renal failure requiring hemodialysis

Cramping

Muscle spasms/spasticity

Nausea

Post-traumatic stress disorder (PTSD)

Seizures

Traumatic brain injury (TBI)

Vomiting

Wasting

50. West Virginia

Can you purchase and consume cannabis?

Patients in West Virginia can purchase only from dispensaries approved by the bureau of Health. Patients and caregivers may buy and possess up to a 30-day supply of cannabis at any given time, per the guidelines set out by a physician’s certification.

Currently, there are no regulations surrounding medical cannabis delivery services. Local governments have their right to ban or limit medical cannabis business activities within their jurisdictions.

Cannabis consumption is illegal in public places, inside a motor vehicle, or any rented property that requires a person to stay fully sober. Patients may consume their medicine as oils, pills, tinctures, creams, gels, ointments, liquid, and non-whole plant forms using a vaporizer. Smoking cannabis flower is illegal in West Virginia, just like the sales of edibles. However, patients can make their edible products at home.

Lab Testing

The Bureau of Health has yet to draft regulations to determine testing criteria for cannabis products, as well as labeling requirements and types of certification.

Qualifying Conditions and Patient Rights

Amyotrophic lateral sclerosis (ALS)

Cancer

Crohn’s disease

Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity

Epilepsy

HIV/AIDS

Huntington’s disease

Intractable seizures

Multiple sclerosis

Neuropathies

Parkinson’s disease

Post-traumatic stress disorder (PTSD)

Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain for which conventional treatment and opiate therapy is contraindicated or has proved ineffective

Sickle cell anemia

Terminal illness with a life expectancy of approximately one year or less if the illness runs its normal course

51. Wisconsin

Can you purchase and consume cannabis?

Wisconsin only allows for the possession of CBD products for which a doctor has recommended CBD treatment.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

52. Wyoming

Can you purchase and consume cannabis?

Under the Wyoming state law, it’s against the law to purchase or possess cannabis. There is currently no medical marijuana program, although hemp-derived CBD products with less than 0.3% are approved by the government.

Lab Testing

N/A

Qualifying Conditions and Patient Rights

N/A

If you have any updates about the changes in any of these states — or you’ve just learned about a new state striving to make medical marijuana legal — let us know in the comments below or send us an email!